BP 08-1551P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00001551
Property Address:
45280 SEELEY DR
APN:
604-040-094- -
Application description:
WALL/FENCE ,
Property Zoning:
TOURIST COMMERCIAL
Application valuation:
12125
c&t�/ 4 4Q"
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 741137
' Date:/1- /pp'O Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
1 _) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/09/08
Owner:
EISENHOWER MEDICAL
45280 SEELEY DR
LA QUINTA, CA 92253
Contractor:
WDL CONSTRUCTION
74075 EL PASEO,
PALM DESERT, CA
(760)674-9553
Lic. No.: 741137
CTR
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1424883-2008
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
,.Date oor Applicant: (t'j'�C
.0
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above -mentioned property for inspection purposes.
Date/Z2.Jo7 Signature (Applicant or Agent): // _
1�
Application Number . . . . . 08-00001551
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee 144.00 Plan Check
Fee
00
Issue Date . . . . Valuation
. . . .
12125
Expiration Date . . 6/07/09
Qty Unit Charge Per
Extension
BASE FEE
45.00
11.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
99.00
Special Notes and Comments
COMBINATION RETAINING WALLS AT THE
CORNER OF SEELEY DRIVE & WASHINGTON ST.
485 LIN FT. OF COMBO RET WALLS.(2FT RET
W/4FT GARDEN, 4FT RET W/2-4 GARDEN, 2FT
RET W/ 6FT GARDEN)2007 CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . HOURLY PLAN CHECK
70.00
STRONG MOTION (SMI)
- COM
2.54
Fee summary Charged Paid Credited
-----------------
Due
------------------------------
Permit Fee Total 144.00 .00
----------
.00
144.00
Plan Check Total .00 .00
.00
.00
Other Fee Total 72.54 .00
.00
72.54
Grand Total 216.54 .00
.00
216.54
LQPERMIT
Bin #
(� �City
of La Quinta
Building& Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
(S
Project Address:
Owner's Name:
A. P. Number:
Address: C>
Legal Description:
City, ST, Zip:
Contractor: _rGD WOL,
Telephone:
EMS=
Address: -1 - V 7 5 GL .0,1 C6 ccr rig iO3
Project Description:
City, ST, Zip: IN LA( D&CS 11-4 'F7_a6(5
21
Telephone:
State Lic. #
City Lie.
Arch., Engr., Designer:
Address: 13
City, ST, Zip:
Telephone: jLft'— Construction Type: Occupancy:
State Lie. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: c4u t'd Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: '2i14(. Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reeld-
TRACKING PERMIT FEES
Plan Sets
Plan Check submittc41_____1_\
Item Am I ount
Structural Calcs.
Reviewed, ready fo (correction)
Plan Check Deposit
Truss Cales.
Called Contact Pers`o�.'
1-0 Plan Check Balance
Energy Cates.
Plans picked up
qft Construction
Flood plain plan
Plans resubmitted
06 Mechanical
Grading plan
2" Review, ready for corrections ssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3,d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
-Date of permit issue
School Fees
Total Permit Fees
��+ lfl � 3Y�riz 1� l�ajc?
try st�� V��
Vt4 PQ
OF TY�9
ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
See below for Finance Revenue Code:
For the construction of public or private curbs, driveways; pavements, sidewalks, parking lots, sewers, water mains and other like public
works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS.
Subdivision Improvement Permit - Class III
DATE:December 9, 2008 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION (Street address or Description): Eisenhower Ambulatory Care Center; SDP 2007-887 45280 Seeley Dr. /
Washington St and Seeley Dr
PURPOSE OF CONSTRUCTION: Precise Grading and Paving
DESCRIPTION OF CONSTRUCTION: Plan Set No. 08057
DIMENSION OFINSTALLATION OR REMOVAL: See Approved Plans; PSN 08057
APPROXIMATE TIME WHEN WORK WILL BEGIN:5/27/2008 TIME OF COMPLETION:12/31/2008
ESTIMATED CONSTRUCTION COST: $$1,066,033+$61,000=$1,127 033 (Including removal of all obstruction, materials, and debris,
backfilling, compaction and placing permanent resurfacing and/or replacing improvements)
COMMENTS: Permit Revised to Include Added Diversion Weir Chamber Unit (Const. Notes 74-77, 80, 81); Attached to Permit 8051
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any
and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or
property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started at (760) 777-
7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at
least twenty-four (24) hours prior to the anticipated inspection.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City
of La Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
muennower i waicai Venter - Ali Tourkaman 39000 Bob Hope Dr, Rancho Mirage CA 92270 (760) 773-1273
Name of Applicant (please print) Business Address Telephone No.
WDL Construction - Shawn Martin 74075 EI Paseo, Palm Desert. CA 92260 (760) 674-9553
Name of Contractor and Job Foreman usiness Address Telephone No.
741137 /U/,.
Contractor's License No.
P,
:rstate Fire and Casualty Cc
i)licant's Insurance Compan,
FEES: Subdivision Improvement Permit -Class
Minor Improvement Permit - Class IV
Finance Revenue Code
Inspection Fee
E-1
Permit Fee
E-1
As -Built Deposit
&A
Cash Deposit -Surety Bond,
E-13
if required
TOTAL
City Business License No.
Number
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
$1,830
DATE ISSUED: May
$0
EXPIRATION DATE: Ad� �,g Zo09
$0
BY:
$0
WORK INSPECTED BY*:
PERMIT COMPLETION DATE*:
$1.830
*If the work is covered by a Subdivision Improvement Agreement, Subdivider
shall request final acceptance of improvements from the City Council.
PERMIT NO.8051
Eisenhower Ambulatory Care Center/ Precise Grading & Paving /SDP 2007-887;
Washington St and Seeley Dr
In addition to the standard permit conditions, the following shall apply:
Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all
work shall be performed in accordance with the latest edition of the Standard Specifications For Public
Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer.
2. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the
actual work performed.
3. Eisenhower Medical Center (Ali Tourkaman) and WDL Construction (Shawn Martin),
hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion
control.
4. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, if required.
5. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1,1982), throughout the
work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of
equipment within one-half mile of human occupancy shall be performed only during the following time
periods:
October 1st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
May 1 st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays and Sundays.
Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial
street (ie any 4 lane street) before 8:30 a.m. nor after 4:30 p.m.
6. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3
p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact
the City Traffic Signal Maintenance Division at (760) 250-0571 if signal operation at the intersection is
to be altered in any way.
7. The permittee and/or contractor placing engineered fill must provide adequate time and safety for the
Geotechnical Engineer of Record to perform soils testing during engineered fill placement. The testing
frequency shall be determined by the Geotechnical Engineer of Record such that the fill can be
determined to be placed according to the city approved plans.
Special Conditions Page 1 of 8
T4&t 4 4 gum&
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
To: Greg Butler, Building & Safety Manager
From: Les Johnson, Director -Planning
Permit #: 08-1551
BUILDING & SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
To CDD:September 11, 2008
Due Date:September 15, 2008
Status: 1st Review
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description:
Address or General Location:
Eisenhower Medical Center
45-280 Seeley Dr.
Applicant Contact: David Wilson (760)346-7481
The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
...these Building Plans are approved by the Planning Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Department for review.
Z&brA AA 10�
Les Johnson, Director -Planning Date
Letter of Transmittal
To: City of La Quinta Today's Date: 40 fl.-08
78-495 Calle Tampico City Due Date : ag
La Quinta, Ca 92253 Project Address: )
4a ,.&
Attn: Plan Check #:
Submittal: ❑ 1st ❑ 4th
5L 2nd ❑ 5th
❑ 3`d ❑ Other:
We are forwarding: By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup
Includes: # Of
Descriptions:
Includes: # Of
Descriptions:
Copies:
❑
Structural Plans
Copies:
(
Revised Structural Plans
❑
Structural Calcs
(
Revised Structural Calcs
❑
Truss Calm
❑
Revised Truss Calcs
❑
Soils Report
❑
Revised Soils Report
❑
Correction List
❑
Approved Structural Plans
Redlined Structural Plans
❑
Approved Structural Calcs
Redlined Structural Calcs
❑
Approved Truss Calcs
❑
Redlined Truss Calcs
❑
Approved Soils Report
❑
Redlined Soils Reports
❑
Other:
Comments:
/0
Thank
you!
This Material Sent
for:
❑
Your Files
91
Per Your Request
❑
Your Review
❑
Approval
❑
Checking
❑
At the request of:
Other:
❑
By: 1 I 1 L3Aa( /
Palm Desert Office: ❑ # (760) 360-5770
Washington Office: ❑ # (760) 404-9556